Conflicts Analyst - Newport Beach
$80K - $95K *
Engage in critical conflict analysis to support new business and lateral hires. Collaborate with attorneys to identify, review, and resolve conflicts of interest while ensuring compliance and maintain...
1 week ago
Compliance Consultant III, Medical Coding
$87K - $112K *
Transform healthcare compliance by serving as a subject matter expert in coding, conducting audits, and developing recommendations to enhance regulatory adherence and operational efficiency across var...
3 days ago
$125K - $130K *
Transform healthcare integration by leveraging your expertise in HL7. Collaborate with diverse teams to design and support systems that enhance efficiency and drive innovation, while managing complex...
Reposted 5 days ago
Appeals and Grievances - RN, Senior (Medi-Cal)
$95K - $115K *
Elevate your nursing career by conducting clinical reviews of member appeals and grievances, ensuring compliance with medical necessity and quality standards while collaborating with medical directors...
2 weeks ago
Rebate Clinical Program Manager
$108K - $196K *
Optimize clinical quality and cost-effectiveness of drug rebates through data analysis and operational management, collaborating with account teams to enhance performance and achieve financial goals f...
Yesterday
$80K - $95K *
Pioneer a dynamic team environment by supervising multiple workers' compensation examiners. Drive innovative solutions, ensure compliance, and enhance client relationships while fostering professional...
Yesterday
Clinical Documentation Integrity Supervisor
$110K - $159K *
Inspire excellence in clinical documentation by leading a team of specialists, ensuring quality assurance, and fostering professional development. Collaborate with stakeholders to enhance operational...
1 week ago
Clinical Documentation Integrity Supervisor
$110K - $159K *
Lead the charge in enhancing clinical documentation integrity by supervising staff, conducting quality reviews, and fostering professional development. Collaborate with teams to implement effective st...
1 week ago
Senior Product Analyst - Government Insurance Products
$95K - $115K *
Join a dynamic team to support product management for government insurance, ensuring compliance and driving strategic initiatives. Leverage your expertise to lead analysis, define requirements, and en...
3 weeks ago
Data Analytics, Business Systems Analyst IV
$95K - $169K *
Contribute to innovative solutions by analyzing complex business systems, gathering requirements, and collaborating with technical teams to enhance software functionality and drive project success...
5 days ago
$120K - $135K *
Transform clinical research operations by managing trials, ensuring compliance, and collaborating with teams to uphold data integrity and study timelines. Drive efficiency in site management and suppo...
1 week ago
Payroll Compliance Analyst - Advanced
$91K - $114K *
Elevate your career by ensuring compliance with payroll regulations across the US and Canada. Engage in audits, risk management, and data analysis to optimize payroll operations while supporting strat...
4 weeks ago
$71K - $103K *
Join a team that's dedicated to optimizing healthcare benefit configurations, ensuring accurate and timely setup for prior authorization and related processes. Collaborate across departments to drive...
Reposted 2 days ago
$71K - $103K *
Join our team to enhance healthcare operations by managing benefit configurations, ensuring accuracy in prior authorizations and process improvements while collaborating across departments to optimize...
Reposted 2 days ago
Senior Coding Compliance Auditor - Inpatient
$76K - $131K *
Elevate healthcare compliance by leading detailed coding audits, mentoring auditors, and implementing action plans. Drive innovation and ensure adherence to standards while fostering a culture of cont...
2 weeks ago
Transportation Adjuster (Michigan)
$75K - $95K *
Unlock potential by navigating complex transportation claims with expertise, ensuring resolution while collaborating with clients, attorneys, and medical providers to uphold regulatory standards in a...
Reposted 1 week ago
Delegated Network Audit Manager
$90K - $110K *
Elevate your career by managing audit and compliance activities within a delegated network. Collaborate with stakeholders to ensure regulatory adherence, support quality improvement, and enhance opera...
2 weeks ago
Medical Review Nurse - Commercial DME Auditor
$80K - $95K *
Transform healthcare auditing by conducting thorough medical claims reviews. Collaborate with a dynamic team to ensure compliance and improve processes while working remotely in a fast-paced environme...
2 days ago
Senior Trade Finance Underwriter
$100K - $128K *
Join a team that's dedicated to analyzing trade transactions, managing credit risks, and developing client-focused strategies. You'll collaborate with various stakeholders to ensure compliance and dri...
Yesterday
$68K - $113K *
Join a team that's dedicated to transforming disability claims through expert clinical assessments. Collaborate with healthcare providers and utilize your clinical expertise to improve patient outcome...
Reposted 1 week ago
$100K - $135K *
Discover impactful opportunities as you drive financial analytics in payer contracts. Own contract modeling for MA, Medicaid, and Commercial business, while collaborating across teams to enhance perfo...
3 weeks ago
$100K - $135K *
Join our team as a Senior Analyst to drive financial analytics for payer contracts. Shape the future of healthcare through advanced data modeling, insights, and cross-functional collaboration, ensurin...
3 weeks ago
$92K - $115K *
Unlock potential by leading requirements documentation for software projects. Collaborate with stakeholders and technical teams to ensure successful delivery throughout the project lifecycle, while su...
4 days ago
Healthcare Claims Payment Policy Managing Consultant
$113K - $188K *
Shape the future of healthcare reimbursement by developing and implementing payment policies that enhance accuracy, compliance, and provider experience in a dynamic payer environment. Collaborate with...
1 week ago
Executive Assistant - Bellevue
$93K - $109K *
Innovate alongside executives by providing strategic support to drive organizational success, manage high-stakes priorities, and enhance workflow efficiency. You'll serve as a vital liaison and truste...
Reposted yesterday